Sun Safety Skills for Elementary School Students

NCT03752736 | Completed

• 1 other identifier: 46831
• Study Type: interventional
• Target: 96
• Locations: 1 country
• Sites: 1

Brief Summary

The overarching goal of this work is to pilot-test a song-based instructional video designed to help elementary school (kindergarten) age children independently apply sunscreen effectively (i.e., covers all needed areas), efficiently (i.e., can be accomplished in 2-3 minutes), consistently (i.e., continues to apply sunscreen routinely before recess both during and after the intervention), without impacting classroom function (i.e., no mess). The video is also designed to encourage use of hats and sunglasses. The outcomes of interest include identification of "gaps" in skills that are consistent for this age group (i.e., commonly miss application to the back of neck), areas of learning refinement (i.e., generalization of skills with different outfits on), and flexibility in terms of adapting practice (i.e., can they do it without the video). The investigators hope that this pilot project will pave the way for broader clinical / educational implementation of this intervention within schools.

Conditions

Sunburn; Skin Cancer Prevention

Keywords

Sunscreen; Sun protection; Education; skin cancer; school-aged children; prevention

Outcome Measures

Primary Outcomes (1)

• Teacher Ratings of Kinder Students' Successful/Not Successful Self-Application of Sunscreen.

  Change in the proportion of kindergarten students who successfully complete independent self-application of sunscreen within the allotted 2.5 minute time window from baseline (Time 1) to posttreatment (Time 2). Successful completion of the sun screen task (i.e., Kinder Students' self-application of sunscreen within the 2.5 minute window allotted by the intervention) will be determined via direct observation by the classroom teacher. Teachers will be formally trained by the study staff to rate student performance (i.e., successful/not successful) with self-application of sunscreen per a manualized study protocol.

  Baseline to Posttreatment (Time 1 - Time 2; each Time is up to 15 minutes and separated by 2 weeks)

Secondary Outcomes (4)

• Teacher Identified Barriers to Kinder Student Self-Application of Sunscreen

  Baseline to Posttreatment (Time 1 - Time 2; each Time is up to 15 minutes and separated by 2 weeks)

• Teacher, parent and administrator perceptions of intervention utility.

  Posttreatment (Time 2; up to 15 minutes)

• Teacher, parent and administrator perceptions of intervention value.

  Posttreatment (Time 2; up to 15 minutes)

• Student perceptions of intervention likability

  Posttreatment (Time 2; up to 15 minutes)

Study Arms (2)

Extended intervention

ACTIVE COMPARATOR

Upon completion of the two-week baseline period and two-week standard intervention period, the two classrooms assigned to the Extended intervention condition will receive the "I wear sunscreen everyday" song-based video intervention daily for two additional weeks.

Behavioral: "I wear sunscreen everyday" song-based video

Maintenance

NO INTERVENTION

The two classrooms assigned to the Maintenance condition will continue to receive a two- minute window for sunscreen application, but no "I wear sunscreen everyday" song-based video instruction. Change trajectories from Time 3-Time 4 (two-week follow up) will be compared by follow-up assignment condition and will provide preliminary information about dosing and maintenance effects.

Interventions

"I wear sunscreen everyday" song-based video BEHAVIORAL

All four classes (arms) will be shown (sitting on carpet, not participating) a 2-3 minute song-based video titled "I wear sunscreen everyday" in which they observe elementary age children applying sunscreen in a systematic fashion. Following the viewing, classes will be administered this video guided, song- based intervention while their teacher documents their independent participation using our classroom map data collection sheet.

Extended intervention

Eligibility Criteria

• Age: 5 Years - 7 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• General education Kinder students (Sedgwick Elementary School in 2018-2019).
• Child assent and parental consent are required to participate.

You may not qualify if:

• Non-general education status;
• significant medical, mental health and/or behavioral problem
• child refusal of assent or parental refusal of consent;
• known or identified allergy to ingredients in sunscreen;
• moving out of the grade or school during the intervention or follow-up period;

Sponsors & Collaborators

• Stanford University: lead

Study Sites (1)

Sedgwick Elementary School

Cupertino, California, 95014, United States

Location

Related Publications (1)

• Lee GH, Bae GH, Barnes LA, Pol-Rodriguez MM, Ransohoff KJ, Nord KM, Lu Y, Cannell B, Weitlauf JC. The Sunscreen for Kindergarteners (SKIN) Study trial protocol. Contemp Clin Trials. 2021 Aug;107:106480. doi: 10.1016/j.cct.2021.106480. Epub 2021 Jun 11.

  PMID: 34126263 DERIVED

MeSH Terms

Conditions

Sunburn; Skin Neoplasms

Condition Hierarchy (Ancestors)

Photosensitivity Disorders; Skin Diseases; Skin and Connective Tissue Diseases; Burns; Wounds and Injuries; Neoplasms by Site; Neoplasms

Study Officials

• Kristin Nord, MD

  Stanford University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Professor

Study Record Dates

• First Submitted: October 16, 2018
• First Posted: November 26, 2018
• Study Start: February 25, 2019
• Primary Completion: April 11, 2019
• Study Completion: May 23, 2019
• Last Updated: August 13, 2019

Record last verified: 2019-08

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)